Dr Kaydianne Nugent-jackson, - Medicare Counselor in St Petersburg, FL

Dr Kaydianne Nugent-jackson, is a medicare enrolled "Counselor - Mental Health" provider in St Petersburg, Florida. Her current practice location is 4905 34th St S # 182, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 252-6343.

Dr Kaydianne Nugent-jackson is licensed to practice in Florida (license number MH17633) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568038826.

Contact Information

Dr Kaydianne Nugent-jackson,
4905 34th St S # 182,
St Petersburg, FL 33711-4511
(727) 252-6343
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Kaydianne Nugent-jackson
GenderFemale
SpecialityCounselor - Mental Health
Location4905 34th St S # 182, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568038826
  • Provider Enumeration Date: 05/27/2021
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769823038
  • Enrollment ID: I20240517000498

Medical Identifiers

Medical identifiers for Dr Kaydianne Nugent-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568038826NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MH17633 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kaydianne Nugent-jackson allows following entities to bill medicare on her behalf.
Entity NameOptum Behavioral Care Of North Carolina, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033984448
PECOS PAC ID: 5092120030
Enrollment ID: O20240401000110

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kaydianne Nugent-jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kaydianne Nugent-jackson,
4905 34th St S # 182,
St Petersburg, FL 33711-4511

Ph: () -
Dr Kaydianne Nugent-jackson,
4905 34th St S # 182,
St Petersburg, FL 33711-4511

Ph: (727) 252-6343

Reviews and Comments


Counselor in St Petersburg, FL

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Phone: 727-327-7656    Fax: 727-536-7867
Sharon Renee Michaels, LCSW,CAP
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Phone: 727-278-8375    
Dr. Margaret Louise Reynolds Prince, ED. D.
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Practice Location: 275 4th St N, St Petersburg, FL 33701
Phone: 727-828-8362    Fax: 727-823-8082
Kristian Nicole Berger, LMHC, MA
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Phone: 727-513-2962    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.